Hi Liane, A couple of thoughts about this. When someone asks what then, let them know that the key is to support our moms, continue followup, and change the plan as needed. Let them know you expect the plan to work, that you have assessed the mother's history and her breasts and they are functioning well, that you have assessed the baby's transfer, etc. That your info shows 10 diapers etc. Let them know you have seen this work many times. That part of the plan is to boost moms confidence and support her decisions, all the while keeping a close eye on the dyad. Most nurses do not look at formula as harmful, as we do. She might need a little info on the effects of formula as you told her about gut flora, diabetes, etc. However, nsy nurses are not often 'worried about the mom' but they are 'worried about the baby.' Apparently the baby is under 5 pounds, so validate that you are keeping a close eye on the baby. Over time, attitudes can change. However, her tone is not acceptable, and you might have to actually have a sit down with she, you, and the supervisor. Let them know you are very willing to collaborate, discuss, and have them question the reasoning behind your plan. But that you are not going to accept disrespectful tone or attacks. Most hospitals have policies on how to interact respectfully among staff, doctors, etc. Do not accept disrespect from anyone. Laurie Wheeler RN MN IBCLC Mississippi USA *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome